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Contact Information

JASON JENKINS, NP
2512 HURST DR
MATTOON, IL61938
 Phone: 217-258-5900
 Fax: 217-258-3686
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for JASON JENKINS · (Male)

NPI Number 1639570476
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 09/11/2014
Last updated 04/29/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • HI License # APRN2709
  • IL License # 209011280
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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